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Provider Information for 1396086203


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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Mrs. AMY L CRABTREE LCSW


Sex: Female

NPI: 1396086203
Last Updated: 2013-03-04
Certification Date:

Details

NameValue
NPI1396086203
Enumeration Date2013-03-04
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 240 W TYRONE RD
OAK RIDGE, TN 37830-6517
United States

Phone: 865-482-1076 | Fax:865-481-6164
 
Primary Practice Address 110 N TENNESSEE AVE
LA FOLLETTE, TN 37766-2488
United States

Phone: 423-562-7426 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041S0200X - Social Worker - SchoolTN5715